| NPI | 1285763664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC2884) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005985) |
| 101YP2500X Counselor, Professional (Licence: PA PC004850) | |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2008-09-11 |